TY  - JOUR
AU  - Marinković, Valentina
AU  - Stojković, Tatjana
AU  - Zeković, Milica
AU  - Tasić, Ljiljana
AU  - Krajnović, Dušanka
PY  - 2020
UR  - http://rimi.imi.bg.ac.rs/handle/123456789/1018
AB  - Background: Medicines dispensing is an error-prone activity, therefore potentially jeopardizing patient safety. This study aimed to assess the community pharmacists' attitudes towards the causes of dispensing errors and preventive measures, as well as their practice in incidents reporting. Materials and Methods: A cross-sectional survey was performed by distributing an adopted and validated questionnaire to a nationwide sample of community pharmacists in Serbia. The questionnaire included sections related to the participants' socio-demographic characteristics, their attitudes towards factors causing dispensing errors and corrective actions, as well as their practice in reporting. Statistical analyses were conducted using SPSS Statistics software ver. 21.0. The associations between categorical variables were analyzed using Chi-square test. Results: The study included 1,004 participants, mainly female (94.9%), with the mean age 40.9 +/- 9.9 years and mean work experience 14.3 +/- 10.0 years. More than a third of the participants (35.4%) indicated an increasing risk of dispensing errors. The main causes included illegible prescriber's handwriting (44.3%) and interruptions during dispensing (39.2%), while the major corrective actions were providing pharmacists with education in clinical pharmacy (71%) and reducing the interruptions during dispensing (63.9%). The majority of respondents (85.2%) stated that they routinely reported dispensing incidents. However, even 16.5% of them admitted to having fear sometimes or always. Additionally, only 58.1% of participants would use voluntary dispensing error reporting system. Conclusion: Serbian community pharmacists are aware of the existing risk in medicines dispensing and the corrective actions identified should be put into practice so as to manage them prospectively. Although the results indicate good practice in incidents reporting, conducting tailored educations and building of safety culture is necessary to improve patient safety.
PB  - Assoc Pharmaceutical Teachers India, Bangalore
T2  - Indian Journal of Pharmaceutical Education & Research
T1  - Community Pharmacists' Attitudes and Professional Practice in Relation to the Patient Safety Incidents
EP  - 205
IS  - 1
SP  - 194
VL  - 54
DO  - 10.5530/ijper.54.1.23
ER  - 

@article{
author = "Marinković, Valentina and Stojković, Tatjana and Zeković, Milica and Tasić, Ljiljana and Krajnović, Dušanka",
year = "2020",
abstract = "Background: Medicines dispensing is an error-prone activity, therefore potentially jeopardizing patient safety. This study aimed to assess the community pharmacists' attitudes towards the causes of dispensing errors and preventive measures, as well as their practice in incidents reporting. Materials and Methods: A cross-sectional survey was performed by distributing an adopted and validated questionnaire to a nationwide sample of community pharmacists in Serbia. The questionnaire included sections related to the participants' socio-demographic characteristics, their attitudes towards factors causing dispensing errors and corrective actions, as well as their practice in reporting. Statistical analyses were conducted using SPSS Statistics software ver. 21.0. The associations between categorical variables were analyzed using Chi-square test. Results: The study included 1,004 participants, mainly female (94.9%), with the mean age 40.9 +/- 9.9 years and mean work experience 14.3 +/- 10.0 years. More than a third of the participants (35.4%) indicated an increasing risk of dispensing errors. The main causes included illegible prescriber's handwriting (44.3%) and interruptions during dispensing (39.2%), while the major corrective actions were providing pharmacists with education in clinical pharmacy (71%) and reducing the interruptions during dispensing (63.9%). The majority of respondents (85.2%) stated that they routinely reported dispensing incidents. However, even 16.5% of them admitted to having fear sometimes or always. Additionally, only 58.1% of participants would use voluntary dispensing error reporting system. Conclusion: Serbian community pharmacists are aware of the existing risk in medicines dispensing and the corrective actions identified should be put into practice so as to manage them prospectively. Although the results indicate good practice in incidents reporting, conducting tailored educations and building of safety culture is necessary to improve patient safety.",
publisher = "Assoc Pharmaceutical Teachers India, Bangalore",
journal = "Indian Journal of Pharmaceutical Education & Research",
title = "Community Pharmacists' Attitudes and Professional Practice in Relation to the Patient Safety Incidents",
pages = "205-194",
number = "1",
volume = "54",
doi = "10.5530/ijper.54.1.23"
}

Marinković, V., Stojković, T., Zeković, M., Tasić, L.,& Krajnović, D.. (2020). Community Pharmacists' Attitudes and Professional Practice in Relation to the Patient Safety Incidents. in Indian Journal of Pharmaceutical Education & Research
Assoc Pharmaceutical Teachers India, Bangalore., 54(1), 194-205.
https://doi.org/10.5530/ijper.54.1.23

Marinković V, Stojković T, Zeković M, Tasić L, Krajnović D. Community Pharmacists' Attitudes and Professional Practice in Relation to the Patient Safety Incidents. in Indian Journal of Pharmaceutical Education & Research. 2020;54(1):194-205.
doi:10.5530/ijper.54.1.23 .

Marinković, Valentina, Stojković, Tatjana, Zeković, Milica, Tasić, Ljiljana, Krajnović, Dušanka, "Community Pharmacists' Attitudes and Professional Practice in Relation to the Patient Safety Incidents" in Indian Journal of Pharmaceutical Education & Research, 54, no. 1 (2020):194-205,
https://doi.org/10.5530/ijper.54.1.23 . .

TY  - JOUR
AU  - Zeković, Milica
AU  - Krajnović, Dušanka
AU  - Nikolić, Marina
AU  - Stojković, Tatjana
AU  - Gurinović, Mirjana
AU  - Glibetić, Marija
PY  - 2019
UR  - http://rimi.imi.bg.ac.rs/handle/123456789/925
AB  - Background/Aim. The protective effect of periconceptional folic acid supplementation in reducing the risk of neural tube defects (NTDs) and other adverse pregnancy outcomes has been scientifically confirmed. The present study aimed to assess knowledge, attitudes, and practice (KAP) of community pharmacists and pharmacy technicians with regards to counselling women of reproductive age on adequate folate intake. Methods. The cross-sectional study was conducted among the nationwide stratified sample of pharmacists and pharmacy technicians, practicing in both private and state-owned community pharmacies in Serbia. The detailed literature review, expert consultation and pre-testing were employed in the questionnaire development. The descriptive and inferential statistical analyses were performed using the SPSS software ver. 22. Results. Among 730 survey participants, 96.6% correctly identified types of deformities that could be prevented by folic acid and 77.0% recognized recommended dosage for women capable of becoming pregnant. However, fewer were able to recognize the optimal timing for folic acid supplementation (61.1%) and the proper dose for the NTD recurrence prevention (42.9 %). While 43.2% of pharmacy technicians thought that it was not their responsibility to provide a counselling concerning the measures for the prevention of congenital anomalies, only 4.7% of licensed pharmacists and none of the interns were of that opinion (χ2 = 198.287; df = 4; p  lt  0.001). The majority of respondents (54.7%) reported provision of informative consultation concerning folic acid once a week, or few times a month, while only 10 stated to do so on a daily basis. In addition, based on self-report, only 36.7% of participants communicates information and advice regarding adequate folate status at their own initiative, while the rest addresses this topic only on the patients request, i.e., reactively. Conclusion. Although participants acknowledged the importance of their role in preconception health promotion, our findings revealed certain knowledge gaps as well as dominantly reactive counselling practice. Tailored educational interventions and professional support are needed to improve the engagement of community pharmacy personnel in this area of public health.
AB  - Uvod/Cilj. Naučno je potvrđen zaštitni efekat primene suplemenata folne kiseline u perikoncepcijskom periodu u redukciji rizika od nastanka defekata nervne cevi (DNC) i drugih neželjenih ishoda trudnoće. Cilj ove studije bio je ispitivanje znanja, stavova i prakse farmaceuta i farmaceutskih tehničara zaposlenih u javnim apotekama u vezi sa savetovanjem žena reproduktivne dobi o adekvatnom unosu folata. Metode. Sprovedenom studijom preseka obuhvaćen je nacionalni stratifikovani uzorak farmaceuta i farmaceutskih tehničara zaposlenih u državnim i privatnim javnim apotekama u Srbiji. Detaljan pregled literature, ekspertske konsultacije i pre-testiranje primenjeni su u procesu razvoja upitnika. Deskriptivna i inferencijalna statistička analiza realizovane su primenom SPSS softvera ver. 22. Rezultati. Od 730 ispitanika, 96,6% tačno je identifikovalo vrste deformiteta koji se mogu prevenirati primenom folne kiseline, a 77,0% prepoznalo je preporučenu dozu za žene sposobne da ostanu u drugom stanju. Ipak, manji udeo ispitanika prepoznao je optimalni vremenski okvir za suplementaciju (61,1%), kao i adekvatnu dozu za prevenciju rekurence DNC (42,9%). Dok je 43,2% farmaceutskih tehničara izrazilo uverenje da nije njihova obaveza da sprovode savetovanje o merama za prevenciju kongenitalnih anomalija, takvo mišljenje imalo je samo 4,7% licenciranih farmaceuta i nijedan farmaceut-stažer (χ2 = 198.287; df = 4; p  lt  0,001). Većina učesnika studije (54,7%) izjavila je da pruža informativne konsultacije u vezi folne kiseline jednom nedeljno ili nekoliko puta mesečno, a samo 10 ispitanika tvrdilo je da to čini svakodnevno. Dodatno, na osnovu sopstvenog izveštaja, samo 36,7% ispitanika pruža savete i informacije o adekvatnom statusu folata na sopstvenu inicijativu, dok ostatak ovu temu pominje samo na zahtev pacijenta tj. reaktivno. Zaključak. Iako su ispitanici prepoznali značaj sopstvene uloge u promociji zdravlja u prekoncepcijskom periodu, naši rezultati ukazali su na određene propuste u znanju i dominantno reaktivan pristup savetovanju. Prilagođene edukativne intervencije i profesionalna podrška neophodni su za unapređenje javnozdravstvenog angažovanja farmaceutskog tima iz javnih apoteka u ovoj oblasti.
PB  - Vojnomedicinska akademija - Institut za naučne informacije, Beograd
T2  - Vojnosanitetski pregled
T1  - Periconceptional folic acid supplementation: Knowledge, attitudes and counselling practice of Serbian pharmacists and pharmacy technicians
T1  - Perikoncepcijska suplementacija folnom kiselinom - znanja, stavovi i savetodavna praksa farmaceuta i farmaceutskih tehničara u Srbiji
EP  - 1138
IS  - 11
SP  - 1127
VL  - 76
DO  - 10.2298/VSP171226020Z
ER  - 

@article{
author = "Zeković, Milica and Krajnović, Dušanka and Nikolić, Marina and Stojković, Tatjana and Gurinović, Mirjana and Glibetić, Marija",
year = "2019",
abstract = "Background/Aim. The protective effect of periconceptional folic acid supplementation in reducing the risk of neural tube defects (NTDs) and other adverse pregnancy outcomes has been scientifically confirmed. The present study aimed to assess knowledge, attitudes, and practice (KAP) of community pharmacists and pharmacy technicians with regards to counselling women of reproductive age on adequate folate intake. Methods. The cross-sectional study was conducted among the nationwide stratified sample of pharmacists and pharmacy technicians, practicing in both private and state-owned community pharmacies in Serbia. The detailed literature review, expert consultation and pre-testing were employed in the questionnaire development. The descriptive and inferential statistical analyses were performed using the SPSS software ver. 22. Results. Among 730 survey participants, 96.6% correctly identified types of deformities that could be prevented by folic acid and 77.0% recognized recommended dosage for women capable of becoming pregnant. However, fewer were able to recognize the optimal timing for folic acid supplementation (61.1%) and the proper dose for the NTD recurrence prevention (42.9 %). While 43.2% of pharmacy technicians thought that it was not their responsibility to provide a counselling concerning the measures for the prevention of congenital anomalies, only 4.7% of licensed pharmacists and none of the interns were of that opinion (χ2 = 198.287; df = 4; p  lt  0.001). The majority of respondents (54.7%) reported provision of informative consultation concerning folic acid once a week, or few times a month, while only 10 stated to do so on a daily basis. In addition, based on self-report, only 36.7% of participants communicates information and advice regarding adequate folate status at their own initiative, while the rest addresses this topic only on the patients request, i.e., reactively. Conclusion. Although participants acknowledged the importance of their role in preconception health promotion, our findings revealed certain knowledge gaps as well as dominantly reactive counselling practice. Tailored educational interventions and professional support are needed to improve the engagement of community pharmacy personnel in this area of public health., Uvod/Cilj. Naučno je potvrđen zaštitni efekat primene suplemenata folne kiseline u perikoncepcijskom periodu u redukciji rizika od nastanka defekata nervne cevi (DNC) i drugih neželjenih ishoda trudnoće. Cilj ove studije bio je ispitivanje znanja, stavova i prakse farmaceuta i farmaceutskih tehničara zaposlenih u javnim apotekama u vezi sa savetovanjem žena reproduktivne dobi o adekvatnom unosu folata. Metode. Sprovedenom studijom preseka obuhvaćen je nacionalni stratifikovani uzorak farmaceuta i farmaceutskih tehničara zaposlenih u državnim i privatnim javnim apotekama u Srbiji. Detaljan pregled literature, ekspertske konsultacije i pre-testiranje primenjeni su u procesu razvoja upitnika. Deskriptivna i inferencijalna statistička analiza realizovane su primenom SPSS softvera ver. 22. Rezultati. Od 730 ispitanika, 96,6% tačno je identifikovalo vrste deformiteta koji se mogu prevenirati primenom folne kiseline, a 77,0% prepoznalo je preporučenu dozu za žene sposobne da ostanu u drugom stanju. Ipak, manji udeo ispitanika prepoznao je optimalni vremenski okvir za suplementaciju (61,1%), kao i adekvatnu dozu za prevenciju rekurence DNC (42,9%). Dok je 43,2% farmaceutskih tehničara izrazilo uverenje da nije njihova obaveza da sprovode savetovanje o merama za prevenciju kongenitalnih anomalija, takvo mišljenje imalo je samo 4,7% licenciranih farmaceuta i nijedan farmaceut-stažer (χ2 = 198.287; df = 4; p  lt  0,001). Većina učesnika studije (54,7%) izjavila je da pruža informativne konsultacije u vezi folne kiseline jednom nedeljno ili nekoliko puta mesečno, a samo 10 ispitanika tvrdilo je da to čini svakodnevno. Dodatno, na osnovu sopstvenog izveštaja, samo 36,7% ispitanika pruža savete i informacije o adekvatnom statusu folata na sopstvenu inicijativu, dok ostatak ovu temu pominje samo na zahtev pacijenta tj. reaktivno. Zaključak. Iako su ispitanici prepoznali značaj sopstvene uloge u promociji zdravlja u prekoncepcijskom periodu, naši rezultati ukazali su na određene propuste u znanju i dominantno reaktivan pristup savetovanju. Prilagođene edukativne intervencije i profesionalna podrška neophodni su za unapređenje javnozdravstvenog angažovanja farmaceutskog tima iz javnih apoteka u ovoj oblasti.",
publisher = "Vojnomedicinska akademija - Institut za naučne informacije, Beograd",
journal = "Vojnosanitetski pregled",
title = "Periconceptional folic acid supplementation: Knowledge, attitudes and counselling practice of Serbian pharmacists and pharmacy technicians, Perikoncepcijska suplementacija folnom kiselinom - znanja, stavovi i savetodavna praksa farmaceuta i farmaceutskih tehničara u Srbiji",
pages = "1138-1127",
number = "11",
volume = "76",
doi = "10.2298/VSP171226020Z"
}

Zeković, M., Krajnović, D., Nikolić, M., Stojković, T., Gurinović, M.,& Glibetić, M.. (2019). Periconceptional folic acid supplementation: Knowledge, attitudes and counselling practice of Serbian pharmacists and pharmacy technicians. in Vojnosanitetski pregled
Vojnomedicinska akademija - Institut za naučne informacije, Beograd., 76(11), 1127-1138.
https://doi.org/10.2298/VSP171226020Z

Zeković M, Krajnović D, Nikolić M, Stojković T, Gurinović M, Glibetić M. Periconceptional folic acid supplementation: Knowledge, attitudes and counselling practice of Serbian pharmacists and pharmacy technicians. in Vojnosanitetski pregled. 2019;76(11):1127-1138.
doi:10.2298/VSP171226020Z .

Zeković, Milica, Krajnović, Dušanka, Nikolić, Marina, Stojković, Tatjana, Gurinović, Mirjana, Glibetić, Marija, "Periconceptional folic acid supplementation: Knowledge, attitudes and counselling practice of Serbian pharmacists and pharmacy technicians" in Vojnosanitetski pregled, 76, no. 11 (2019):1127-1138,
https://doi.org/10.2298/VSP171226020Z . .

TY  - JOUR
AU  - Zeković, Milica
AU  - Đekić-Ivanković, Marija
AU  - Nikolić, Marina
AU  - Gurinović, Mirjana
AU  - Krajnović, Dušanka
AU  - Glibetić, Marija
PY  - 2017
UR  - http://rimi.imi.bg.ac.rs/handle/123456789/805
AB  - The study aimed to examine the external validity of the Folate Food Frequency Questionnaire (F-FFQ) designed for assessing the folate intake in Serbian women of reproductive age. The F-FFQ was tested against repeated 24 h dietary recalls and correspondent nutritional biomarkers (red blood cells (RBC) and serum folate concentrations) using the method of triads. In a cross sectional study, 503 women aged 18-49 years completed dietary questionnaires and representative validation subsample (n = 50) provided fasting blood samples for biomarker analyses. Correlation coefficients were calculated between each of the dietary methods and three pair-wise correlations were applied for the calculation of validity coefficients. Correlation coefficients observed between F-FFQ and three 24 h recalls were r = 0.56 (p  lt  0.001) and r = 0.57 ( p  lt  0.001) for total sample and validation group, respectively. Bland-Altman plot and cross-classification analyses indicated good agreement between methods. High validity coefficients were determined between the true intake (I) and dietary assessment methods, F-FFQ (Q) and 24 h dietary recalls (R) (rho QI(rbc) = 0.871 and rho QI(ser) = 0.814; rho RIrbc = 0.652 and rho RIser = 0.698), and moderate ones for biomarkers (B) (rho BIrbc = 0.428 and rho BIser = 0.421). The F-FFQ is valid instrument for the assessment of dietary folate intake in women living in Serbia, a country without mandatory folic acid food fortification.
PB  - MDPI, Basel
T2  - Nutrients
T1  - Validity of the Food Frequency Questionnaire Assessing the Folate Intake in Women of Reproductive Age Living in a Country without Food Fortification: Application of the Method of Triads
IS  - 2
SP  - 128
VL  - 9
DO  - 10.3390/nu9020128
ER  - 

@article{
author = "Zeković, Milica and Đekić-Ivanković, Marija and Nikolić, Marina and Gurinović, Mirjana and Krajnović, Dušanka and Glibetić, Marija",
year = "2017",
abstract = "The study aimed to examine the external validity of the Folate Food Frequency Questionnaire (F-FFQ) designed for assessing the folate intake in Serbian women of reproductive age. The F-FFQ was tested against repeated 24 h dietary recalls and correspondent nutritional biomarkers (red blood cells (RBC) and serum folate concentrations) using the method of triads. In a cross sectional study, 503 women aged 18-49 years completed dietary questionnaires and representative validation subsample (n = 50) provided fasting blood samples for biomarker analyses. Correlation coefficients were calculated between each of the dietary methods and three pair-wise correlations were applied for the calculation of validity coefficients. Correlation coefficients observed between F-FFQ and three 24 h recalls were r = 0.56 (p  lt  0.001) and r = 0.57 ( p  lt  0.001) for total sample and validation group, respectively. Bland-Altman plot and cross-classification analyses indicated good agreement between methods. High validity coefficients were determined between the true intake (I) and dietary assessment methods, F-FFQ (Q) and 24 h dietary recalls (R) (rho QI(rbc) = 0.871 and rho QI(ser) = 0.814; rho RIrbc = 0.652 and rho RIser = 0.698), and moderate ones for biomarkers (B) (rho BIrbc = 0.428 and rho BIser = 0.421). The F-FFQ is valid instrument for the assessment of dietary folate intake in women living in Serbia, a country without mandatory folic acid food fortification.",
publisher = "MDPI, Basel",
journal = "Nutrients",
title = "Validity of the Food Frequency Questionnaire Assessing the Folate Intake in Women of Reproductive Age Living in a Country without Food Fortification: Application of the Method of Triads",
number = "2",
pages = "128",
volume = "9",
doi = "10.3390/nu9020128"
}

Zeković, M., Đekić-Ivanković, M., Nikolić, M., Gurinović, M., Krajnović, D.,& Glibetić, M.. (2017). Validity of the Food Frequency Questionnaire Assessing the Folate Intake in Women of Reproductive Age Living in a Country without Food Fortification: Application of the Method of Triads. in Nutrients
MDPI, Basel., 9(2), 128.
https://doi.org/10.3390/nu9020128

Zeković M, Đekić-Ivanković M, Nikolić M, Gurinović M, Krajnović D, Glibetić M. Validity of the Food Frequency Questionnaire Assessing the Folate Intake in Women of Reproductive Age Living in a Country without Food Fortification: Application of the Method of Triads. in Nutrients. 2017;9(2):128.
doi:10.3390/nu9020128 .

Zeković, Milica, Đekić-Ivanković, Marija, Nikolić, Marina, Gurinović, Mirjana, Krajnović, Dušanka, Glibetić, Marija, "Validity of the Food Frequency Questionnaire Assessing the Folate Intake in Women of Reproductive Age Living in a Country without Food Fortification: Application of the Method of Triads" in Nutrients, 9, no. 2 (2017):128,
https://doi.org/10.3390/nu9020128 . .

TY  - JOUR
AU  - Zeković, Milica
AU  - Krajnović, Dušanka
AU  - Marinković, Valentina
AU  - Tasić, Ljiljana
PY  - 2016
UR  - http://rimi.imi.bg.ac.rs/handle/123456789/714
AB  - Adherence is tremendously important for efficiency and safety of pharmacotherapy and has a significant influence on its clinical, economic and humanistic outcomes, which can be observed both on the individual level of the patient as well as on the overall healthcare system. The inadequate degree of adherence is a long-lasting and widely present problem which can have immense and long-term consequences. Therefore, the issue of adherence is a big challenge for medical professionals in clinical practice. The concept of adherence is based on cooperation between patients and medical team members in the process of therapy management. It is focused on patients and implies a two-way transfer of information, agreement and shared responsibility for success in realization of adequate therapy regime and defined goals. Although there are numerous methods for adherence assessment, the evaluation of this parameter is still considered problematic. The complexity of adherence can be seen in its multidimensionality since numerous factors which individually and in mutual interaction affect medicine-taking behavior and thus create a framework that determines the achieved level of adherence have been identified and analyzed. Considering the fact that poor adherence is one of the main preventable causes of unsatisfactory therapy results and excessive costs of medical care, it is evidently necessary to ensure a high quality base in the form of knowledge, skills and motivation at the healthcare system level for adherence evaluation and improvement, as well as a multidisciplinary approach based on coordinated activities of healthcare policy creators, researchers and medical professionals.
AB  - Adherenca je izuzetno važna za efikasnost i bezbednost farmakoterapije i značajno utiče na njene kliničke, ekonomske i humanističke ishode, što se može pratiti kako na individualnom nivou bolesnika, tako i na celokupnom zdravstvenom sistemu. Neadekvatan stepen adherence odavno je prisutan i široko rasprostranjen problem koji može imati velike i dugoročne posledice. Zato pitanje adherence predstavlja veliki izazov za zdravstvene profesionalce u kliničkoj praksi. Koncept adherence je utemeljen na saradnji bolesnika i članova zdravstvenog tima u procesu upravljanja terapijom. U potpunosti je orjentisan ka bolesniku i podrazumeva dvosmerni transfer informacija, dogovor i podeljenu odgovornost za uspešnost u realizaciji adekvatnog terapijskog režima i definisanih ciljeva. Iako postoji veliki broj metoda za procenu ostvarenog stepena adherence, još uvek se evaluacija ovog parametra smatra problematičnom. Kompleksnost adherence ogleda se u njenoj multidimenzionalnosti, budući da je identifikovan i proučen veliki broj faktora koji pojedinačno i u međusobnoj interakciji utiču na ponašanje bolesnika u vezi sa terapijom i tako kreiraju okvir koji determiniše ostvareni stepen adherence. Budući da je nizak stepen adherence jedan od glavnih preventabilnih uzroka nezadovoljavajućih terapijskih ishoda i prekomernih troškova zdravstvene zaštite, evidentna je potreba da se obezbedi kvalitetna baza u formi znanja, veština i motivacije na nivou zdravstvenog sistema za evaluaciju i unapređenje adherence, kao i multidisciplinaran pristup, koji je zasnovan na koordinisanim aktivnostima kreatora zdravstvene politike, istraživača i zdravstvenih profesionalaca.
PB  - Univerzitet u Nišu - Medicinski fakultet, Niš
T2  - Acta medica Medianae
T1  - The complexity of adherence issue: A review of its scope and determinants
T1  - Pitanje adherence - složenost konteksta i determinante nivoa adherence
EP  - 58
IS  - 1
SP  - 51
VL  - 55
DO  - 10.5633/amm.2016.0109
ER  - 

@article{
author = "Zeković, Milica and Krajnović, Dušanka and Marinković, Valentina and Tasić, Ljiljana",
year = "2016",
abstract = "Adherence is tremendously important for efficiency and safety of pharmacotherapy and has a significant influence on its clinical, economic and humanistic outcomes, which can be observed both on the individual level of the patient as well as on the overall healthcare system. The inadequate degree of adherence is a long-lasting and widely present problem which can have immense and long-term consequences. Therefore, the issue of adherence is a big challenge for medical professionals in clinical practice. The concept of adherence is based on cooperation between patients and medical team members in the process of therapy management. It is focused on patients and implies a two-way transfer of information, agreement and shared responsibility for success in realization of adequate therapy regime and defined goals. Although there are numerous methods for adherence assessment, the evaluation of this parameter is still considered problematic. The complexity of adherence can be seen in its multidimensionality since numerous factors which individually and in mutual interaction affect medicine-taking behavior and thus create a framework that determines the achieved level of adherence have been identified and analyzed. Considering the fact that poor adherence is one of the main preventable causes of unsatisfactory therapy results and excessive costs of medical care, it is evidently necessary to ensure a high quality base in the form of knowledge, skills and motivation at the healthcare system level for adherence evaluation and improvement, as well as a multidisciplinary approach based on coordinated activities of healthcare policy creators, researchers and medical professionals., Adherenca je izuzetno važna za efikasnost i bezbednost farmakoterapije i značajno utiče na njene kliničke, ekonomske i humanističke ishode, što se može pratiti kako na individualnom nivou bolesnika, tako i na celokupnom zdravstvenom sistemu. Neadekvatan stepen adherence odavno je prisutan i široko rasprostranjen problem koji može imati velike i dugoročne posledice. Zato pitanje adherence predstavlja veliki izazov za zdravstvene profesionalce u kliničkoj praksi. Koncept adherence je utemeljen na saradnji bolesnika i članova zdravstvenog tima u procesu upravljanja terapijom. U potpunosti je orjentisan ka bolesniku i podrazumeva dvosmerni transfer informacija, dogovor i podeljenu odgovornost za uspešnost u realizaciji adekvatnog terapijskog režima i definisanih ciljeva. Iako postoji veliki broj metoda za procenu ostvarenog stepena adherence, još uvek se evaluacija ovog parametra smatra problematičnom. Kompleksnost adherence ogleda se u njenoj multidimenzionalnosti, budući da je identifikovan i proučen veliki broj faktora koji pojedinačno i u međusobnoj interakciji utiču na ponašanje bolesnika u vezi sa terapijom i tako kreiraju okvir koji determiniše ostvareni stepen adherence. Budući da je nizak stepen adherence jedan od glavnih preventabilnih uzroka nezadovoljavajućih terapijskih ishoda i prekomernih troškova zdravstvene zaštite, evidentna je potreba da se obezbedi kvalitetna baza u formi znanja, veština i motivacije na nivou zdravstvenog sistema za evaluaciju i unapređenje adherence, kao i multidisciplinaran pristup, koji je zasnovan na koordinisanim aktivnostima kreatora zdravstvene politike, istraživača i zdravstvenih profesionalaca.",
publisher = "Univerzitet u Nišu - Medicinski fakultet, Niš",
journal = "Acta medica Medianae",
title = "The complexity of adherence issue: A review of its scope and determinants, Pitanje adherence - složenost konteksta i determinante nivoa adherence",
pages = "58-51",
number = "1",
volume = "55",
doi = "10.5633/amm.2016.0109"
}

Zeković, M., Krajnović, D., Marinković, V.,& Tasić, L.. (2016). The complexity of adherence issue: A review of its scope and determinants. in Acta medica Medianae
Univerzitet u Nišu - Medicinski fakultet, Niš., 55(1), 51-58.
https://doi.org/10.5633/amm.2016.0109

Zeković M, Krajnović D, Marinković V, Tasić L. The complexity of adherence issue: A review of its scope and determinants. in Acta medica Medianae. 2016;55(1):51-58.
doi:10.5633/amm.2016.0109 .

Zeković, Milica, Krajnović, Dušanka, Marinković, Valentina, Tasić, Ljiljana, "The complexity of adherence issue: A review of its scope and determinants" in Acta medica Medianae, 55, no. 1 (2016):51-58,
https://doi.org/10.5633/amm.2016.0109 . .